SKY SPORTS found themselves with six hours of airtime to fill after Freddie Flintoff produced the most inspired mopping-up
operation since Mrs Mop was at large.
TWO-thirds of Florida attractions have reopened after Hurricane Charley rampaged through the state but there is still mopping-up
to do in the west coast resorts of Captiva, Sanibel and Fort Myers.
This report summarizes 1) the success of National Immunization Days (NIDs) [*]; 2) the establishment of acute flaccid paralysis (AFP) surveillance; and 3) accelerated efforts to meet the 2000 target, including mopping-up [+] planned for later in 1999.
Two house-to-house, mopping-up OPV vaccination rounds are planned for 15 of 37 states in April and May 1999, targeting 13 million children aged [less than]5 years (representing 52% of the total population aged [less than]5 years).
Mopping-up rounds in April and May 1999 will be among the first large-scale, house-to-house vaccination activities in Africa.
Of the 40 AFP cases with wild poliovirus, 24 were in states that are not targeted for mopping-up. Results of pending stool specimens and AFP surveillance from January to May 1999 will be critical in determining whether additional states need to be targeted for mopping-up activities.
Interruption of wild poliovirus transmission will require 1) successful mopping-up in 15 states during April and May 1999; 2) high quality mopping-up in additional states guided by surveillance before the start of NIDs in November 1999; 3) house-to-house vaccination during the next two NIDs to assure high coverage; 4) statewide house-to-house mopping-up in any state with wild poliovirus transmission during 2000; and 5) maintenance and further strengthening of AFP surveillance.
Because an accurate target denominator was unknown, coverage data were considered unreliable for monitoring the quality of mopping-up. Therefore, the total number of children reached by mobile teams and the proportion of children for whom no vaccination dose ("zero-dose" children) was recorded previously served as an alternative indicator of the quality of the mopping-up rounds.
To complete eradication, Cambodia and Vietnam conducted eight supplementary vaccination rounds: four rounds of mopping-up and four rounds of NIDs in the high-risk areas along the waterways of the Mekong River and its tributaries from November 1996 through April 1998.
To reach a high proportion of the target groups for mopping-up vaccination, substantial efforts were devoted to planning, monitoring and supervision, and evaluation.
In Cambodia and Vietnam, 1 million children aged <5 years were included in both the 1997 and 1998 mopping-up, and Laos, which conducted mopping-up in 1997 only, targeted 50,000 children aged <5 years.
When it stops, the mopping-up
operations take an eternity.